Roberts Wesleyan College

Insurance Coverage Information

American College Student Association has been designed to meet the needs of the college student body. Program material found below includes information about the student health insurance. The following links provides specific instructions on how to complete and submit a claim form for reimbursement of medical expenses covered under the student health insurance program.

The Plan is Underwritten by: UnitedHealthcare Insurance Company of New York

  1. Visit: www.uhcsr.com
  2. Click on "Find My School's Plan"
  3. At School/Association name enter "ACSA"
  4. Click "Search"
  5. Click on "ACSA – American College Student Association"
  6. For plan details, including benefits and rates, please refer to Plan Information section and click on items listed below.
  High Option  
    Brochure: 2011-30 Policy Brochure-Domestic Pan HIGH Option-New York Residents
    Form: 2011-30 Mail-In Enrollment Form - Domestic Plan High Option-New York Residents
     
  Low Option  
    Brochure: 2011-31 Policy Brochure - Domestic Plan Low Option-New York Residents
    Form: 2011-31 Mail-In Enrollment Form - Domestic Plan Low Option-New York Residents

Submit all Claims or Inquiries to:
UnitedHealthcareStudentResources
P.O. Box 809025
Dallas, TX 75380-9025
1-800-505-5450
Claims@uhcsr.com
Customerservice@uhcsr.com

Sales/Marketing Service:
UnitedHealthcare StudentResources
E-mail: info@uhcsr.com
Website: www.uhcsr.com

Online Services:
Please visit www.ACSA.com for Brochures, Enrollment Cards (printable using Adobe Acrobat), Coverage Receipts, ID Cards, Claims Status and other services or you can e-mail us your questions at info@ACSA.com.